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► • <br /> 040�0 City of Orono FOR CTTY USE ONLY <br /> P.O.Box 66 Date Received:4-i t`�l�'<'. Permit# i`,'�;' �; ���- -) <br /> y;,;�,� 2750 Kelley Parkway <br /> a� ��"-:����n.. � Crystal Bay,MN 55323 Amount: $ SAC Credit: <br /> t���,�����c`� (952)249-4600 <br /> �'�O$ Homeowner(s)Signed: ❑Yes <br /> Resolutions(if any)Signed:❑Yes ❑None Required <br /> Zonin Disclosure Si ned: ❑Yes ❑None Required <br /> CITY OF ORONO - DEMOLITION PERMIT <br /> (All permits must be approved by the Building Official and/or Zoning Department) <br /> � , <br /> ,.� �ua�aer:Information: �� '- � <br /> Type: �Residential ❑ Commercial <br /> i <br /> Site Address: � �/ ` ��/ C./ Q�� , ���� <br /> Owner: / `"/�� ��i�e �AM,D��' Mailing Address: ��Q( ��F��c�c� � <br /> v <br /> city: 0���`J/�U zip: �'�� � M�f ��'��( <br /> Home Phone: �l-� ��ll� ��'U� Alternate Phone: �i�� ��� ��5� <br /> ;,pplicant Information: m�' sa� `��a��•��� <br /> ���: . �._��.-: <br /> Conira��Sp�..• �FNDlCKSON, II�',, Contact Persan: ����f +���C�� <br /> 1501 HUN ��: — <br /> Address: OIVAYZRTA, MN 55391 State License #: <br /> City: Zip: Expiration Date: <br /> Phone: � ��`�C`���'���" Alternate Phone: <br /> tcr�o�-2�1BI @rv�n•C.�w� <br /> .,3��� � �� � ���;��NDI�IONS &HOLD HARMLESS'��G�E21%I�E'1�dT ; � <br /> `"� .; .� �3.;-.'�..M�n . <br /> General Instructions: <br /> 1. You may be required to obtain other permits, i.e.: well abandonment, sewer, etc. <br /> 2. Work must not begin unless the permit card is available on the job site. <br /> 3. A 24-48 hour notice is required for all inspections. Call (952) 249-4600. <br /> 4. Sewer must be discontinued at the City service by qualified contractor before demo permit is issued. <br /> Demolition by means of: ❑ Manual Disassembly,.�f Heavy Equipment ❑ Other <br /> Permit(s) Issued: ❑ Sewer Disconnection ❑ Well Abandonment# � <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees to: <br /> 1. Submit a survey, aerial photo or sketch showing all structures on the property. Note which <br /> structures are to be demolished. <br /> 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in <br /> accordance with Chapter 79, Construction Site Runoff Control. <br /> 3. Submit a $2,000 escrow and an escrow agreement signed by the property owner. <br /> 4. Keep all structure(s) enclosed and/or secured until such time as demolition is complete. <br />